Articles on the implementation of ObamaCare.
With the Supreme Court due to rule on a major ObamaCare legal challenge by next summer, thoughts in Washington are turning to the practical and political response. If the Court does strike down insurance subsidies, the question for Republicans running Congress is whether they will try to fix the problems Democrats created, or merely allow ObamaCare’s damage to grow.
By Aliya Sternstein, A core Internal Revenue Service system for calculating Obamacare fees for health insurers and drug manufacturers has security weaknesses, according to an internal audit.
Under the Affordable Care Act, insurers must report their net premiums to the tax agency annually, and pharmaceutical companies must submit sales data from certain government programs.
By Scott Gottlieb Dec. 7, 2014 5:12 p.m. ET
Here’s a dirty little secret about recent attempts to fix ObamaCare. The “reforms,” approved by Senate and House leaders this summer and set to advance in the next Congress, adopt many of the Medicare payment reforms already in the Affordable Care Act. Both favor the consolidation of previously independent doctors into salaried roles inside larger institutions, usually tied to a central hospital, in effect ending independent medical practices.
Why the hell did Jonathan Gruber say that? And that? And that? And (sigh) the other thing? Those are the questions on the minds of virtually everyone in the health care world—especially the people who worked the hardest on Obamacare. Ever since the videos started popping up, one after another, America has come to know Gruber—the MIT economist who worked closely on both Obamacare and Romneycare—as the guy who thinks voters are “stupid.” And the guy who thinks Obamacare was passed because of trickery. And who says, ha-ha, voters don’t understand economics. For a while, Fox News didn’t have to bother running anything else.
By Jonathan Ingram, Nic Horton and Josh Archambault— Mr. Ingram is Research Director, Mr. Horton Policy Impact Specialist, and Mr. Archambault a Senior Fellow at the Foundation for Government Accountability.
After months of secretly negotiating a backroom deal with the Obama administration, Governor Gary Herbert (R-UT) has finally released (some of) the details of his Obamacare expansion plan. We’ve not hesitated to share our disappointment over Herbert’s recent actions to bring Obamacare to Utah (which has always seemed out of character for him), but we’ve also met with the governor and his chief of staff privately to share our concerns about this welfare program. Sadly, Gov. Herbert continues to move forward with an Obamacare expansion plan that is bad for taxpayers and the truly needy.
In the 2014 midterm elections, opposition to the Affordable Care Act — i.e., Obamacare — was a clear political winner. That’s obvious from the election results themselves but also from polling that consistently finds that far more of the electorate disapproves of the law than approves of it.
“The holiday shopping season kicks off tomorrow with Black Friday, the annual mad-dash for good deals and early-morning sales. This year, shoppers in a few states will see something new this year at shopping malls–and its not exactly a hot new store. It’s…Obamacare.
In an effort to boost floundering enrollment numbers, the Department of Health and Human Services has taken to partnering with retail stores, pharmacies and websites to promote the open enrollment period, which lasts until Feb. 15. Enrollment workers will be present on Black Friday, Small Business Saturday, and Cyber Monday to tell shoppers about how to sign up for a plan on the exchange.”
“Anyone who has listened to the Gruber tapes has heard Prof. Gruber’s repeated references to the “three-legged stool” that forms the core of Obamacare. However, those who pay close attention to his remarks–variously characterized as “arrogant” (Charles Krauthammer), “ careless” (New York Times), “dumb” (Ezra Klein) “ ill-advised and indefensible” (Times Argus), “offensive” (New York Times), and “stupid” (David Axelrod)–may have detected that Gruber enthusiastically endorses (and Obamacare contains) a more sinister three-legged stool of deception regarding employer health plans.”
“Despite the enduring unpopularity of Obamacare, Congressional Democrats have up to now stood by their health care law, allowing that “it’s not perfect” but that they are proud of their votes to pass it. That all changed on Tuesday, when the Senate’s third-highest-ranking Democrat—New York’s Chuck Schumer—declared that “we took [the public’s] mandate and put all our focus on the wrong problem—health care reform…When Democrats focused on health care, the average middle-class person thought, ‘The Democrats aren’t paying enough attention to me.’””
“The Obama administration has admitted to erroneously inflating the count of Exchange enrollees by incorrectly including 380,000 dental subscribers. Instead of 7.1 paid enrollments in the Exchanges as of mid-October, the correct figure should have been only 6.7 million. For the same reason, the reported number of paid enrollments in August should have been only 6.9 million rather than the 7.3 million figure originally reported. It’s a bit disappointing that this goof might never have been discovered but for the investigative efforts of Republican staffers for the House Oversight and Government Reform Committee, using data that took weeks of negotiations to secure from the U.S. Centers for Medicare and Medicaid Services. That said, it’s encouraging to see DHHS Secretary Burwell take the position “The mistake we made is unacceptable. I will be communicating that clearly throughout the department.””